Fibroepithelial polyps (FEPs) are rare benign tumours that most commonly arise in the lower female genital tract, including the vagina, vulva, and cervix. Occurring in the breast, particularly the nipple, is extremely rare and may clinically and radiologically mimic malignantdisease. A woman in her early 50s presented to the breast one-stop clinic with aprogressively enlarging pedunculated lesion arising from the nipple. She reported along standing small nipple tag since childhood that had recently increased significantly insize.

Clinical examination revealed a 9 x 7 cm soft, exophytic, pedunculated mass arising from the nipple. Breast imaging showed no underlying abnormality. The patient underwent day-case surgical excision under general anaesthesia with preservation of the nipple and uncomplicated recovery. The specimen weighed 130 g.Histopathology demonstrated a fibrovascular lesion with dense collagenous stroma andoverlying hyperplastic epithelium, without atypia or malignancy. FEP of the nipple is an exceptionally rare entity that should be considered in the differential diagnosis of nipple lesions. Surgical excision is curative and allows excellent cosmetic and functional outcomes.

Layloma Hamidi-Latifi is a breast and oncoplastic surgeon affiliated with Maidstone and Tunbridge Wells NHS Trust, United Kingdom. Her clinical and research interests include breast surgery, reconstructive techniques, benign and malignant breast diseases, and surgical innovation. She has contributed to peer-reviewed publications on complex breast reconstruction, rare breast pathologies, and evidence-based surgical management, with a focus on optimizing patient outcomes and advancing clinical practice. Dr. Hamidi-Latifi is actively involved in multidisciplinary research and academic collaboration, contributing to the evolving fields of breast surgery and reconstructive care through clinical research and case-based studies.